Triad Eye Center Od, Pa

LBN: Triad Eye Center Od, Pa
Triad Eye Center Od, Pa is an health care organization with primary practice located at 1305 Lees Chapel Rd. Suite 101, Greensboro NC 27455-2599. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Triad Eye Center Od, Pa can be contacted via phone (336) 271-2020, or through Koop, Timothy G via phone (336) 271-2020.

Contact Information

Primary practice address
1305 Lees Chapel Rd. Suite 101 Greensboro NC 27455-2599
Phone: (336) 271-2020
Fax: (336) 275-8200
Website:
Map and Directions
Authorized official contact:
Name: Koop, Timothy G Doctor of Optometry (OD)
Phone: (336) 271-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X North Carolina

Profile Details

NPI number 1104966845
LBN Legal business name Triad Eye Center Od, Pa
DBA Doing business as
Authorized official Koop, Timothy G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104966845 NPPES
North Carolina MEDICAID 89014FR

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